患者对前列腺动脉栓塞术的看法：一项定性研究。
Patients' perspective on prostatic artery embolization: A qualitative study.
作者信息
Holm Alexander, Lindgren Hans, Bläckberg Mats, Augutis Marika, Jakobsson Peter, Tell Mattias, Wallinder Jonas, Lundström Karl-Johan, Styrke Johan
机构信息
Department of Surgical and Perioperative Sciences, Urology and Andrology, Umeå University, Umeå, Sweden.
Department of Clinical Sciences, Faculty of Medicine, Lund University, Lund, Sweden.
出版信息
SAGE Open Med. 2021 Mar 12;9:20503121211000908. doi: 10.1177/20503121211000908. eCollection 2021.
OBJECTIVES
The aim was to describe the patients' experience of undergoing prostatic artery embolization.
METHODS
A retrospective qualitative interview study was undertaken with 15 patients of mean age 73 years who had undergone prostatic artery embolization with a median duration of 210 min at two medium sized hospitals in Sweden. The reasons for conducting prostatic artery embolization were clean intermittent catheterization (n = 4), lower urinary tract symptoms (n = 10) or haematuria (n = 1). Data were collected through individual, semi-structured telephone interviews 1-12 months after treatment and analysed using qualitative content analysis.
RESULTS
Four categories with sub-categories were formulated to describe the results: a diverse experience; ability to control the situation; resumption of everyday activities and range of opinions regarding efficacy of outcomes. Overall, the patients described the procedure as painless, easy and interesting and reported that while the procedure can be stressful, a calm atmosphere contributed to achieving a good experience. Limitations on access to reliable information before, during and after the procedure were highlighted as a major issue. Practical ideas for improving patient comfort during the procedure were suggested. Improved communications between treatment staff and patients were also highlighted. Most patients could resume everyday activities, some felt tired and bruising caused unnecessary worry for a few. Regarding functional outcome, some patients described substantial improvement in urine flow while others were satisfied with regaining undisturbed night sleep. Those with less effect were considering transurethral resection of the prostate as a future option. Self-enrolment to the treatment and long median operation time may have influenced the results.
CONCLUSIONS
From the patients' perspective, prostatic artery embolization is a well-tolerated method for treating benign prostate hyperplacia.
目的
旨在描述患者接受前列腺动脉栓塞术的体验。
方法
在瑞典的两家中型医院，对15名平均年龄73岁的患者进行了一项回顾性定性访谈研究，这些患者均接受了前列腺动脉栓塞术，手术中位时长为210分钟。进行前列腺动脉栓塞术的原因包括清洁间歇性导尿（n = 4）、下尿路症状（n = 10）或血尿（n = 1）。在治疗后1至12个月通过个体半结构化电话访谈收集数据，并采用定性内容分析法进行分析。
结果
制定了包含子类别的四个类别来描述结果：多样的体验；控制局面的能力；日常活动的恢复以及对治疗效果的不同看法。总体而言，患者将该手术描述为无痛、轻松且有趣，并表示尽管手术可能会带来压力，但平静的氛围有助于获得良好的体验。术前、术中和术后获取可靠信息的受限被视为一个主要问题。提出了在手术过程中提高患者舒适度的实用想法。还强调了治疗人员与患者之间改善沟通的重要性。大多数患者能够恢复日常活动，一些人感到疲倦，少数人因瘀伤而产生不必要的担忧。关于功能结果，一些患者描述尿流有显著改善，而另一些人则对恢复不受干扰的夜间睡眠感到满意。效果欠佳的患者考虑将经尿道前列腺切除术作为未来的选择。自我报名接受治疗以及较长的中位手术时间可能影响了结果。
结论
从患者的角度来看，前列腺动脉栓塞术是一种治疗良性前列腺增生耐受性良好的方法。
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